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General NPI Number Information
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NPI Number | 1780595637
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Entity Type | Organization
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Legal Business Name | MDS MICHIGAN PC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 25375 KELLY RD # MI
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City | ROSEVILLE
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State | MI
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Zip | 48066-4960
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Country | US
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Telephone | 646-289-5357
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Fax |
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Provider Business Mailing Address
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Address Line | 4770 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10470-1136
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEF SCHENKER
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Credential |
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Telephone | 718-344-0755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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